DR. DONALD J KONRAD (D.O.) – Family Medicine Physician, NPI 1306836077

DR. DONALD J KONRAD (D.O.) is a healthcare provider. based in Rupert, Idaho. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. O154 (ID). The NPI Number for DR. DONALD J KONRAD (D.O.) is 1306836077

Main info

Male
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. DONALD J KONRAD (D.O.)
NPI
1306836077
Phone
(208) 436-5266
Address
1224 8TH ST
Enumeration Date
25 October 2005
Last Update Date
6 January 2012

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
2083242004
Graduation Year
1993 (33 years ago)
PAC ID
4688840515
Group Practice PAC ID
8527381136
Professional Enrollment ID
I20111227000460
Address ID
ID833383036JE1225XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

971 FAMILY PRACTICE in ID

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Provider Addresses for DR. DONALD J KONRAD (D.O.)

  • Minidoka Memorial Hospital, 1224, 8th Street, Rupert, Minidoka County, Idaho, 83350, United States

    RUPERT, ID 833501527

    Phone: (208) 436-5266

    Fax: (208) 434-8675

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-12-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111227000460IFamily PracticeIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83350)

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Provider's Procedures

DR. DONALD J KONRAD (D.O.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEID81002Urinalysis, manual test2420

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527381136View full group profile
NameSpecialtyState
Physician AssistantID
Physician AssistantMO
Physician AssistantID
-ID
Nurse PractitionerID
Physician AssistantID
Family PracticeID
Nurse PractitionerID
Physician AssistantID
Physician AssistantID

Reviews

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Frequently asked questions

What is DR. DONALD J KONRAD (D.O.)'s NPI number?
DR. DONALD J KONRAD (D.O.)'s NPI is 1306836077 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. DONALD J KONRAD (D.O.)?
You should see DR. DONALD J KONRAD (D.O.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. DONALD J KONRAD (D.O.)?
DR. DONALD J KONRAD (D.O.) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Idaho is DR. DONALD J KONRAD (D.O.) registered?
Use Rupert, Idaho as the headline location for DR. DONALD J KONRAD (D.O.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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